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Insurance Utilization Review Jobs in Rochester, NY

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Mechanical Department Manager

Rochester, NY ยท On-site

$135K - $165K/yr

Review productivity, utilization and project performance * Monitor project profitability and make ... Life insurance * Professional license incentives * Continuing education and professional ...

Buyer III

Fairport, NY ยท On-site

... materials utilization, and supplier performance. Key Responsibilities: * Assists with Business ... of Insurance, etc.). * Assists with Commodity Reviews and Supply Intelligence * Inventory ...

Transmission Engineer

Rochester, NY ยท On-site

$95K - $115K/yr

Utilization of wetlands, vernal pool and sensitive resource data in line and structure design and ... Review/Design transmission line plan and profile drawings using PLSCAD to ensure compliance with ...

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Insurance Utilization Review information

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$41

$68

How much do insurance utilization review jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for insurance utilization review in Rochester, NY is $41.72, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.

What is an insurance utilization review?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are the key skills and qualifications needed to thrive in insurance utilization review?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What are the most common challenges faced by insurance utilization review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

How do I get into an insurance utilization review?

To become an insurance utilization review specialist, candidates typically need a background in healthcare, nursing, or a related field, along with knowledge of insurance policies and medical terminology. Certification such as the Certified Professional in Healthcare Quality (CPHQ) or similar credentials can enhance job prospects. Relevant skills include attention to detail, analytical thinking, and familiarity with medical records and insurance software systems.

Is insurance utilization review a stressful job?

Insurance utilization review can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. Reviewers often handle complex cases and must balance policy guidelines with patient needs, which can contribute to job pressure. However, the level of stress varies depending on workload, work environment, and individual coping skills.

What are the most commonly searched types of Insurance Utilization Review jobs in Rochester, NY?

The most popular types of Insurance Utilization Review jobs in Rochester, NY are:

What job categories do people searching Insurance Utilization Review jobs in Rochester, NY look for?

The top searched job categories for Insurance Utilization Review jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Insurance Utilization Review jobs?

Cities near Rochester, NY with the most Insurance Utilization Review job openings:

Infographic showing various Insurance Utilization Review job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 68% Full Time, 23% Part Time, and 8% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $86,813 per year, or $41.7 per hour.

CNC Lathe Supervisor

Rochester, NY โ€ข On-site

Addison Precision Manufacturing LLC
Aerospace Product and Parts Manufacturingย โ€ขย 51 - 200 employees

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago


Job description

Description

Position Summary


The CNC Lathe Supervisor oversees the daily operations and personnel within the CNC Lathe Department to ensure production schedules are met, quality standards are maintained, and safety protocols are followed. This role combines strong technical knowledge in CNC programming and machining with leadership responsibilities for managing and developing a team of machinists.


ย ย What We Offer

  • Competitive salary based on experience
  • Career development opportunities
  • Climate-controlled work environment
  • State-of-the-art machinery and equipment

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance



Requirements

Duties and Responsibilities:


Production Oversight

  • Plan, schedule, and monitor lathe machining operations to meet production goals.
  • Optimize machine utilization, efficiency, and workflow while maintaining accuracy ย ย ย ย ย and precision.
  • Adjust and monitor weekly scheduled hours based on workload.
  • Ensure customer deliveries and expectations are consistently met.


Technical Operations

  • Setup, program, and optimize CNC lathes (G-code/M-code) for efficiency.
  • Select and evaluate tooling, oversee troubleshooting of machines and processes.
  • Identify and resolve machining issues and equipment breakdowns, minimizing ย ย ย ย ย downtime.
  • Collaborate with engineers and other departments to improve manufacturability.

Quality Control

  • Inspect machined parts for accuracy, precision, and adherence to specifications.
  • Reduce defects, rework, and scrap through continuous monitoring and improvements.
  • Ensure machinists follow approved processes, prints, and GD&T requirements.

Team Leadership

  • Supervise and direct machinists, assigning duties and monitoring performance.
  • Train, mentor, and coach operators on best practices, safety standards, and technical skills.ย 
  • Conduct performance reviews in coordination with the Manufacturing Manager.
  • Support apprentice training and development.

Safety & Housekeeping

  • Enforce all company and regulatory safety standards.
  • Maintain a clean, organized, and safe work environment at all times.

Process Improvement

  • Implement efficiency and cost-saving improvements.
  • Stay current on machining technologies and recommend adoption were beneficial.
  • Quote labor projects as needed

Skills and Qualifications

  • Minimum of 5 years' CNC lathe operation, setup, and programming experience.
  • Minimum of 3 years' supervisory or lead experience.
  • Proficiency in CNC programming (Fanuc, Haas, etc.), tooling, and machining processes.
  • Strong blueprint reading skills, including GD&T interpretation.
  • Skilled with precision measuring tools (calipers, micrometers, gauges).
  • Strong interpersonal, leadership, and organizational abilities.
  • Knowledge of shop math, machine shop procedures, and inspection techniques.
  • High school diploma or equivalent required; technical training preferred.
  • Ability to multitask and manage competing priorities in a fast-paced environment.